This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Questionnaire-cqif-example.ttl

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Questionnaire used to define the questions involved in the PHQ-9 health questionnaire
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/owl#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/questionnaire-cqif-example> a fhir:Questionnaire;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "questionnaire-cqif-example"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/cqif-questionnaire";
       fhir:index 0
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">PHQ-9 Questionnaire with dynamic logic</div>"
  ];
  fhir:extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqif-basic-library" ];
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Library/phq-9-logic>;
       fhir:Reference.reference [ fhir:value "Library/phq-9-logic" ]
     ]
  ];
  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.value [ fhir:value "phq-9" ]
  ];
  fhir:Questionnaire.version [ fhir:value "1.0.0"];
  fhir:Questionnaire.status [ fhir:value "draft"];
  fhir:Questionnaire.title [ fhir:value "Patient Health Questionnaire (PHQ-9)"];
  fhir:Questionnaire.concept [
     fhir:index 0;
     fhir:concept loinc:44249-1;
     fhir:Coding.system [ fhir:value "http://loinc.org" ];
     fhir:Coding.code [ fhir:value "44249-1" ];
     fhir:Coding.display [ fhir:value "PHQ-9 quick depression assessment panel:-:Pt:^Patient:-:Report.PHQ-9" ]
  ];
  fhir:Questionnaire.subjectType [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "LittleInterest" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44250-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44250-9" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Little interest or pleasure in doing things" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "FeelingDown" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44255-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44255-8" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Feeling down, depressed, or hopeless" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "TroubleSleeping" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44259-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44259-0" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Trouble falling or staying asleep" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 3;
     fhir:Questionnaire.item.linkId [ fhir:value "FeelingTired" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44254-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44254-1" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Feeling tired or having little energy" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 4;
     fhir:Questionnaire.item.linkId [ fhir:value "BadAppetite" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44251-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44251-7" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Poor appetite or overeating" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 5;
     fhir:Questionnaire.item.linkId [ fhir:value "FeelingBadAboutSelf" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44258-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44258-2" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Feeling bad about yourself - or that you are a failure or have let yourself or your family down" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 6;
     fhir:Questionnaire.item.linkId [ fhir:value "TroubleConcentrating" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44252-5;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44252-5" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Trouble concentrating on things, such as reading the newspaper or watching television" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 7;
     fhir:Questionnaire.item.linkId [ fhir:value "MovingSpeaking" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44253-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44253-3" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 8;
     fhir:extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqif-basic-calculatedValue" ];
       fhir:Extension.valueString [ fhir:value "CalculateTotalScore" ]
     ];
     fhir:Questionnaire.item.linkId [ fhir:value "TotalScore" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44261-6;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44261-6" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Total score" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDepressionAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDepressionAnswersList" ]
     ]
  ], [
     fhir:index 9;
     fhir:Questionnaire.item.linkId [ fhir:value "Difficulty" ];
     fhir:Questionnaire.item.concept [
       fhir:index 0;
       fhir:concept loinc:44256-6;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44256-6" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people" ];
     fhir:Questionnaire.item.type [ fhir:value "choice" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.options [
       fhir:link <http://hl7.org/fhir/ValueSet/LOINCDifficultyAnswersList>;
       fhir:Reference.reference [ fhir:value "ValueSet/LOINCDifficultyAnswersList" ]
     ]
  ] .

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Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.